License holder summary

FUENTES GWEN CANARIAS is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FUENTES GWEN CANARIAS is OLD BRIDGE NJ. This doctor license is not current. The license was granted 11/21/1980.

New York

Office of the Professions

FUENTES GWEN CANARIAS
Medicine (Physician, Including M Ds & D Os)
License number
144570
Date granted
11/21/1980
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
OLD BRIDGE NJ
nymedicine.org
ID 30145188
LAST UPDATED 2024-03-03 00:34:17 UTC

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